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This book contains notable contributions from the well-known Vicenza course on hemodialysis and miniaturized wearable devices for renal replacement therapy. The main themes covered in this publication include cardio-renal syndromes as well as new technologies in hemodialysis, new dialysis membranes and techniques, the importance of vitamin D receptors in renal and extra-renal physiology, and the control of risk factors such as blood pressure and lipid disorders. Special interest is placed on new models of organization including large dialysis networks and health care economics. Moreover, acute kidney injury and its impact on the subsequent development of chronic kidney disease are discussed together with the use of modern biomarkers. Microfluidics, nanotechnology and miniaturized dialysis devices suitable for wearable ambulatory treatments are also covered in depth. The publication at hand is a useful tool for consultation by the clinician as well as for those involved in the care of patients with end-stage kidney disease.
Continuous Renal Replacement Therapy provides concise, evidence-based, bedside guidance for the management of critically ill patients with acute renal failure, offering quick reference answers to clinicians' questions about treatments and situations encountered in daily practice.
This publication is a collection of the papers presented at the 'First International Course on Hemodialysis Technology', Vicenza, June 2002: It covers a wide range of topics, including aspects of vascular access and new forms of monitoring access function. Moreover, anticoagulation strategies and antimicrobial treatment are debated, with special emphasis on temporary catheters and prosthetic devices.Membrane composition and structure, their methods of sterilization and performance are discussed by experts and manufacturers, bringing together in a unique way science, theory and manufacturing procedures. The same synthesis is achieved with respect to hemodialyzers, adsorbent devices, dialysis techniques and machines. A new issue is the possibility of computer-assisted data collection and management: This subject is discussed by experts in electronic data management, together with managers of large dialysis networks, concentrating on matters of quality assurance and continuous quality improvement programs.Special attention is given to dialysate and water purity since this is the starting point for newer dialytic techniques such as online hemodiafiltration. Moreover, the results obtained from the IDOPPS study are incorporated into the discussion of different practice patterns and anemia management. Finally, future trends are explored including automatic sensors and biofeedback monitors.Covering various aspects of hemodialysis technology, this book will be a helpful tool for physicians and nurses, both for education and information.
Book initiates with introductory material to hemodialysis technology and its historical evolution and later on divulging into the field of biomaterials. With this background, the book discusses selection criteria of a suitable biomaterial for synthesis of haemodialysis membranes along with illustration of a complete indigenous, low cost technology for spinning of haemodialysis fibres. Well illustrated description of instruments used for membrane characterization and biomedical engineering is also provided at suitable junctures to effectively present the concept including worked out examples. Present title can be a good textbook as well as a research material for membrane as well as biomedical engineering curricula and provides coverage for appropriate undergraduate and graduate students interested in hemodialysis membranes.
Put the world's most well-known kidney reference to work in your practice with the 11th Edition of Brenner & Rector's The Kidney. This two-volume masterwork provides expert, well-illustrated information on everything from basic science and pathophysiology to clinical best practices. Addressing current issues such as new therapies for cardiorenal syndrome, the increased importance of supportive or palliative care in advanced chronic kidney disease, increasing live kidney donation in transplants, and emerging discoveries in stem cell and kidney regeneration, this revised edition prepares you for any clinical challenge you may encounter. - Extensively updated chapters throughout, providing the latest scientific and clinical information from authorities in their respective fields. - Lifespan coverage of kidney health and disease from pre-conception through fetal and infant health, childhood, adulthood, and old age. - Discussions of today's hot topics, including the global increase in acute kidney injury, chronic kidney disease of unknown etiology, cardiovascular disease and renal disease, and global initiatives for alternatives in areas with limited facilities for dialysis or transplant. - New Key Points that represent either new findings or "pearls" of information that are not widely known or understood. - New Clinical Relevance boxes that highlight the information you must know during a patient visit, such as pertinent physiology or pathophysiology. - Hundreds of full-color, high-quality photographs as well as carefully chosen figures, algorithms, and tables that illustrate essential concepts, nuances of clinical presentation and technique, and clinical decision making. - A new editor who is a world-renowned expert in global health and nephrology care in underserved populations, Dr. Valerie A. Luyckx from University of Zürich. - Board review-style questions to help you prepare for certification or recertification. - Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices
A comprehensive reference covering all aspects of the clinical management of adult and child dialysis patients. This edition includes seven new chapters including one on EPO use in dialysis patients and one on the HIV positive patient.
Despite constant significant advances, cardiovascular as well as more general outcomes of hemodialysis treatment remain unsatisfactory. The introduction of innovative 'high retention onset' membranes has led to the development of a new treatment modality called 'expanded hemodialysis' (HDx), which is the focus of this book. This new therapy is likely to benefit end-stage kidney disease patients, thanks to enhanced removal of molecules retained by current dialysis techniques. HDx is simple to set up and application does not require special hardware or specific nursing skills. This book contains emerging evidence and fascinating new hypotheses on HDx. It is highly recommended for all physicians and healthcare professionals who are caring for dialysis patients and are seeking innovation and improved care solutions. It will also be of considerable interest to students and fellows.
A guide to understanding the principles and practice of dialysis which considers the theoretical and practical aspects of haemodialysis and peritoneal dialysis therapy and takes into account the surge in implementation of high-flux dialysis.
While continuous ambulatory peritoneal dialysis (CAPD) has been the standard peritoneal procedure since the seventies, different schedules of automated peritoneal dialysis (APD) have emerged during the eighties. Today, APD is considered a valuable tool in the management of ESRD patients, together with CAPD and hemodialysis. However, despite its frequent use, APD has not yet been well assessed, and most pathophysiological and clinical studies on PD refer to CAPD. In this book, major experts in the field therefore discuss and evaluate the insights gained on APD up to now, presenting a comprehensive review of all experimental, technical and clinical aspects related to the various treatments grouped under the definition of APD. The recent developments presented are divided into four sections: membrane permeability, transport mechanisms and kinetic modeling applied to APD; prescription and adequacy of different APD treatment schedules; dialysis machines and solutions for APD, and, lastly, different clinical aspects such as the possibility to maintain APD program and residual renal function. Physicians involved in ESRD care, renal fellows and scientists both in the academic world and in the hospital setting will undoubtedly profit from this timely publication.
The Core Curriculum covers physiology, chemistry, psychology of renal failure, life on dialysis, and technology including water treatment, safe cannulation, and equipment. It helps teach new dialysis technicians and nurses to be capable and compassionate care providers who understand what to do¿and why.